| NPI | 1780104083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD DAVIS FERRELL Managing Director 304-541-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |